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TOWN OF QUEENSBURY
6L 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: RC-000446-2017
Tax Map No: 301.15-1-57
Permission is hereby granted to: FOOTHILLS BUILDERS,LLC
For property located at: 28 ELK RIDGE DR
In the Town of Queensbury,to construct or place at the above location in accordance with application together
with plot plans and other information hereto tiled and approved and in compliance with the NYS Uniform
Building Codes and the Queensbury Zoning Ordinance
Tvce of Construction
Owner Name: FOOTHILLS BUILDERS,LLC Single Family-New $150,000.00
Owner Address: 9 Mountainside DR Total Value $150,000.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
FOOTHILLS BUILDERS,LLC
9 Mountainside DR
Queensbury,NY 12804
Plans&Specifications
SFD w/FP 1747 s.f,Garage 484 s.f.
Lot?
$1,322.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,August 4,2018
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the airation daWst
Dated at the Town Queens / 1 Fri017
SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
PRINCIPAL STRUCTURE APPLICATION Office Use Only
Date: -7 126111
Tax Map ID 3o I • I S- - I - �7 Permit Fee
1
-
Zone th b 2Hi toric? Yes x No Rec Fee �S�D —
u<iirrL+ySite Plan#
Subdivision Name -94— Lot# —] S„h� twat cV 207"11
Project Location 28 ELK KIDG-6 DK-
TOWN 1313.RESOLUTION 86-2013: $850 recreation fee for new dwelling units—single family,duplexes/two-family,multiple family,
apartments,condominiums,townhouses,and/or manufactured&modular homes,but not mobile homes. This is in addition to the
permit feels).
Primary Owner(s) Foothills Builders
Address 9 Mountainside Drive,Queensbury,NY 12804
Phone/Email (518) 796-3520/(518) 791-1933/FoothillsBuildersNY@gmail.com
Applicant Foothills Builders
Address 9 Mountainside Drive,Queensbury,NY 12804
Phone/Email (518) 796-3520/(518) 791-1933 /FoothillsBuildersNY@gmail.com
Contractor Foothills Builders
Address 9 Mountainside Drive, Queensbury,NY 12804
Phone/Email (518) 796-3520/(518) 791-1933 /FoothillsBuildersNY@gmail.com
SSI& 711-
Contact Person for Building& Codes Compliance: 5O E LE u H Phone (SI(3) '79&-3 2 0
TYPE OF CONSTRUCTION
✓Check all that apply New Addition Alteration V floor sf 2nd floor sf Total sf Height
Single Family 990 O S� / 7V7 2 S C
Two-Family o
Multi-Family
(#of units
Townhouse r'
I
1
Business Office J20171
Retail-Mercantile lSRii:+Y I
'D=
Factory-Industrial
Attached Garage r�
(I,O 3, 4+)
Other
Town of Queensbury Building&Codes Principal Structure Application revised January 2016
If commercial or industrial please indicate name of business
Proposed use of building or addition RES I D E N71 A L
Source of Heat(circle one) Gas Oil Propane Solar Other
Fireplace: Complete a separate application for Fuel Burning
Appliances &Chimneys YDS
Are there structures not shown on plot plan? N c
Are there easements on the property? F✓o
Site Information:
a. Dimensions or acreage of lot 0. 8s- A C R ES
b. Is this a comer lot? _Yes _No
c. Will the grade be changed as a result of construction _Yes _X _No
d. Public water or Private well(circle one) CiT§ Private
e. Sewer or Private Septic System(circle one) Sewer <22d at
Value of all work to be performed(labor or materials) $ /S-01000
DECLARATION.
1. I acknowledge no construction shall be commenced prior to issuance of a valid permit and will be
completed within a 12 month period.
2. If work is not complete by the 1 year expiration date the permit may be renewed, subject to fees and
department approval.
3. I certify that the application, plans and supporting materials are a true and complete statement /
description of the work proposed, that all work will be performed in accordance with the NYS
Building Codes,local building laws and ordinances,and in conformance with local zoning regulations
4. I acknowledge that prior to occupying the facilities proposed, I or my agents will obtain a certificate
of occupancy.
5. 1 also understand that I /we are required to provide an as-built survey by a licensed land surveyor of
all newly constructed facilities prior to issuance of a certificate of occupancy.
I have read and agree to the above:
PRINT NAME: ao S E P H LE L4 C_I DATE: 1 12_G
SIGNATURE: Qft� DATE: 2 1
For office use only
Operating Permit Issued: —Yes —No
Occupancy Type
Construction Classification
Assembly Occupancy Limit
Special Conditions
Town of Queensbury Building&Codes Principal Structure Application Revised January 2016
Fuel Burning Appliance & Chimney Application Office Use Only
Received
DATE: —I 1261 1? Tax Map ID
TAx MAP ID: 361 • I S— ' S Permit No.
ZONE:
Permit Fee
/Yl � 2
(518) 796-3520/
OWNER Foothills Builders PHONE/E-MAIL 1 (518) 791-1933
ADDRESS 9 Mountainside Drive, Queensbury,NY 12804 FoothillsBuildersNY@gmail.com
INSTALLER/ PHONE/E-MAIL
Foothills Builders
BUILDER
CONTACT PERSON FOR BUILDING&CODE COMPLIANCE:
PHONE/E-MAIL (518) 796-3520/(518)791-1933 BUILDINGADDRESs U ELK RIDGE DQ .
FoothillsBuildersNY@gmail.com
ROOM OF INSTALL: PLANNED INSTALL DATE: 06-(06CrR- Zell
FUEL BURNING APPLIANCE INFORMATION WOOD COAL PELLET GAS OIL NOTE: ROUGH-IN&
STOVE FINAL INSPECTION ARE
FIREPLACE INSERT REQUIRED.
FIREPLACE,FACTORY BUILT* NOTE
MANUFACTURER'S
FIREPLACE,MASONRY
INSTALLATION MANUAL
FURNACE(GARAGE ONLY)
MUST BE AVAILABLE AT
TIME OF INSPECTION
*If factory built provide manufacturer name: ; Model #:
Listed by: Number:
CHIMNEY INFORMATION
Masonry** (check one) _BLOCK _BRICK _STONE
Flue _TIE X STEEL _Size in inches
Material _DOUBLE WALL_TRIPLE WALL _INSULATED
** If non-masonry provide manufacturer name: ;Model#:
DECLARATION: Construction/installation must conform to NYS Fire Prevention & Building Code and/or
manufacturer requirements. The applicant or owner agrees to comply with all applicable laws, ordinances,
regulations,and all conditions that are part of these requirements and also will allow inspector's to enter premises
to perform required inspections.
I HAVE READ AND AGREE TO THE ABOVE:
PRINTNAME: OS E 1N Ltju C I DATE: -112(' 111
SIGNATURE: DATE: :212-4,111
Town of Queensbury Building&Codes Principal Structure Application Revised January 2016
SEPTIC DISPOSAL APPLICATION Office Use Only
Received
DATE: _7 I LG J 7 Tax Map ID
TAx MAP ID: 3 o I • i S ' i - S-) Permit No.
Permit Fee
ZONE: M �Q
(518)796-3650/
APPLICANT Foothills Builders PHONE/E-MAIL (518)791-1933
ADDRESS 9 Mountainside Drive Queensbury,NY 12804 FoothillsBuildersNY@gmail.com
INSTALLER/ PHONE/E-MAIL Same as above
BUILDER Foothills Builders
OWNER Foothills Builders
ADDRESS 9 Mountainside Drive Queensbury,NY 12804
CONTACT PERSON FOR BUILDING&CODE COMPLIANCE: Joe Leuci
PHONE/E-MAIL (518)796/3520/ (518)791-1933/FoothillsBuildersNY@gmail.com
RESIDENCE INFORMATION
Year Built #of bedrooms X gallons per bedroom =total Daily flow
1980 or older Garbage grinder installed _YesD1 No
1981-1991 Spa or Hot Tub installed _Yes No
1992-Present 3
PARCEL INFORMATION
Topography -X-Flat rolling _Steep slope _%Slope
Soil Nature -X-Sand _Loam _Clay _Other
Groundwater At what depth: N ON E
Bedrock/Impervious material At what depth: N' r'6
Domestic Water Supply )�_Municipal _Well(if well,water supply from any septic system absorption is_ft.)
Percolation Test Rate: --LL-5- per minute per inch(test to be completed by licensed engineer/architect)
PROPOSED SYSTEM FOR NEW CONSTRUCTION
Tank size I00 0 gallons(min.size 1,000 gallons,add 250 gallons to size for each garbage cylinder or spa or hot tub
System Absorption field with#2 stone Total length —Qft.;Each Trench S'o
Seepage Pit with#3 stone How many: ;Size
Alternative System Bed or other type:
Holding Tank System Total required capacity? Tank size #of tanks_
Notes: 1)Alarm system&associated electrical work must be inspected by a Town approved electrical inspection agency;2)We will
no longer allow systems to be covered until such time as an As-Built plan is received&approved. The installed system must match the
septic system layout on file-no exceptions.
Declaration: Any permit or approval granted which is based upon or is granted in reliance upon any material representation or failure
to make a material fact or circumstance known by or on behalf of an applicant,shall be void. I have read the regulations and agree to
abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
PRINT NAME: - 3 0 S$ P j{ 4X u DATE: 7 12-("m
SIGNATURE: �f WV.^ DATE: L6 /7
Town of Queensbury Building&Codes Principal Structure Application Revised January 2016
Town of Queensbury Thomas R. Van Ness
Highway Department Highway Superintendent
742 Bay Road, Queensbury,NY 12804 Home: 518-745-0929
Phone: 518-761-8211
Fax: 518-745-4466 David Duell
Deputy Highway Superintendent
Home: 518-745-0938
DRIVEWAY PERMIT
Date: '1 I Z 6 I n
Applicant Name: Foothills Builders
Telephone No.: �S- l 0 10 1- (9 33
Address to be Inspected 28 ELK R ( o&-E D Q.
Return Address: 9 Mountainside Drive Queensbury, NY 12804
Applicant must show exact location and width of driveway(s) to be connected to the highway by placing stakes
at the specified location
The Superintendent of Highways of the Town of Queensbury has reviewed this application. The following action
has been taken:
STEP 1: ( ) Preliminary approval
NEED ( ) Slight Swale
( ) Deep Swale
( ) Level with the road
( ) Level with the top of the paved wing
Size culvert pipe to be used (if necessary)
( ) 12" ( ) 15" ( ) 18" ( ) 24" ( ) 36"
Preliminary inspection completed by: Date:
Approval by Highway Supt.: or Deputy Supt.:
Upon completion please resubmit this approval permit for a final approval.
STEP 2: ( ) Final Approval ( ) Rejected
Date:
Thomas R. Van Ness,Highway Superintendent David Duell, Deputy Highway Superintendent
Town of Queensbury Building&Codes Principal Structure Application Revised January 2016
CREScheck Software Version 4.6.4
��ri Compliance Certificate
301.15-1-57 RC-000446-2017
Project Foothills Builders
Energy Code: 2015 IECC 28 Elk Ridge Dr., Lot 7
Location: Glens Falls, New York SFD w/FP 1747 s.f., Garage 484 s.f.
Construction Type: Single-family - - - - — -
--
ProjectType: New Construction
Conditioned Floor Area: 1,747 ft2
Glazing Area 12%
Climate Zone: 6 (7635 HDD)
Permit Date:
Permit Number:
Construction Site: Owner/Agent: Designer/Contractor:
Foothills Builders Inc Vision Engineering, LLC
28 Elk Ridge Drive 206 Glen Street
Queensbury,NY 12804 Ste 56
Glens Falls, NY 12801
Compliance: Passes using UA trade-off
Compliance: 0.8%Better Than Code Maximum UA: 264 Your UA: 262
The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules.
It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home.
Envelope Assemblies
Assembly Gross Area Cavity Cont.
or U-Factor UA
Ceiling 1: Raised or Energy Truss _ 867 38.0 0.0 0.025 22
Wall 1: Wood Frame, 16" D.C. ) Fr!)
I , r�, ,- I � `-'---1,.260 21.0 0.0 0.057 61
Window 1:Vinyl Frame:Double Pane with Low-E) �tJ 1,f f )n'1 112 0.290 32
j"
Door 1:Glass li )I I JUL 6 9 ( �I i 40 0.290 12
Door 2: Solid lJ L017 i�� 20 0.200 4
Door 3: Solid ( I OGtirf') OF QUEENIsp- ,,,y 18
0.140 3
Wall 2:Wood Frame, 16"D.C. i BUILDING& Cr-i, , 1.024 21.0 0.0 0.057 54
Window 2:Vinyl Frame:Double Pane with Low-E - 78 0.290 23
Basement Wall 1:Solid Concrete or Masonry 1,092 0.0 19.0 0.038 40
Wall height: 7.8'
Depth below grade: 7.0'
Insulation depth: 7.8'
Window 3:Vinyl/Fiberglass Frame:Double Pane with Low-E 32 0.290 9
Window 4: Vinyl/Fiberglass Frame:Double Pane 4 0.400 2
Floor 1:All-Wood joist/Truss:Over Outside Air 13 30.0 0.0 0.033 0
Project Title: Report date: 07/26/17
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f
Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other
calculations submitted with the permit application.The proposed bill cling has been designed to meet the 2015 IECC requirements in
RESch ck erssiion 4.6.4 and to comply with the mandatory regw a tts listed in the REScheck Inspection Checklis .
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Project Title: Report date: 07/26/17
Data filename: C:\Users\lrobision\Dropbox\VISION Engineering, LLC\Active Projects VE\1266 -DES- FHB Page 2 of 10
7 Elk Ridge Plans\1266 RESCHECK.rck
REScheck Software Version 4.6.4
Inspection Checklist
Energy Code: 2015 IECC
Requirements: 0.0% were addressed directly in the REScheck software
Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each
requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception
is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided.
section I Plans Verified Field Verified
# Pre-Inspection/Plan Review Value Value Complies? Comments/Assumptions
& Req.ID
103.1, -Construction drawings and ❑Complies
103.2 -documentation demonstrate :❑Does Not
[PR111 lenergy code compliance for the
0 :building envelope.Thermal ❑Not Observable
envelope represented on ❑Not Applicable j
construction documents. _____
103.1, Construction drawings and ❑Complies
103.2, documentation demonstrate ❑Does Not
403.7 'energy code compliance for
[PR31' ';lighting and mechanical systems. :'❑No[Observable
Systems serving multiple A❑Not Applicable j
dwelling units must demonstrate
compliance with the IECC
'Commercial Provisions.
302.1. Heating and cooling equipment is Heating: Heating: ❑Complies
403.7 sized per ACCA Manual 5 based Btu/hr_ Btu/hr ❑Does Not j
[PR212on loads calculated per ACCA Cooling: Cooling: ❑Not Observable
y, Manual J or other methods Btu/hr_ Btu/hr
approved by the code official. ❑Not Applicable
Additional Comments/Assumptions:
1 IHigh Impact(Tier 1) 12 IMedium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: Report date: 07/26/17
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Section Plans Verified Field Verified
# Foundation Inspection Value Value Complies?
Comments/Assumptions
& Req,ID
402.1.1 Conditioned basement wall R-_ R- ❑Complies See the Envelope Assemblies
[F0411 insulation R-value.Where interiorR- R-_ ❑Does Not 'table for values.
insulation is used,verification ❑Not Observable
may need to occur during
Insulation Inspection. Not ❑Not Applicable
required in warm-humid locations
in Climate Zone 3.
303.2 Conditioned basement wall ❑Complies
[FOS]' :insulation installed per ❑Does Not
manufacturer's instructions. ❑Not Observable I
❑Not Applicable
402.2.9 :Conditioned basement wall ft it !❑Complies see the Envelope Assemblies
IF0611 insulation depth of burial or ❑Does Not ;table for values.
'distance from top of wall. ❑Not Observable
❑Not Applicable
303.2.1 IA protective covering is installed ❑Complies
[FO1112 to protect exposed exterior El Does Not
j insulation and extends a
'..minimum of 6 in.below grade. ❑Not Observable
❑Not Applicable
403.9 .Snow-and ice-melting system OComplies
[FO12]2 controls installed. El Does Not
❑Not Observable
❑Not Applicable
Additional Comments/Assumptions:
1 I High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: Report date: 07/26/17
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Section Plans Verified Field Vered
# Framing/Rough-In Inspection Value Value Complies? Comments/Assumptions
& Req.ID
402.1.1, Door U-factor. U- U-_ ❑Complies See the Envelope Assemblies
402.3.4 ❑Does Not table for values.
[FRl]' ❑Not Observable
❑Not Applicable
402.1.1, Glazing U-factor(area-weighted U-_ U-_ ❑Complies See the Envelope Assemblies
402.3.1, average). ❑Does Not table for values.
402.3.3,
❑
402.3.6, Not Observable
402.5 ❑Not Applicable
[FR211
4
303.1.3 U-factors of fenestration products ❑Complies
[FR4]1 are determined in accordance - ❑Does Not
40 'with the NFRC test procedure or ❑Not Observable
taken from the default table. ❑Nat Applicable
402.4.1.1 Air barrier and thermal barrier .❑Complies
[FR2311 installed per manufacturers ;❑Does Not
',instructions. ❑No[Observable
❑Not Applicable
402.4.3 Fenestration that is not site built ❑Complies
[FR20]1 is listed and labeled as meeting ❑Does Not
4. AAMA/WDMA/CSA 101/1.S.2/A440
or has infiltration rates per NFRC ❑Not Observable
400 that do not exceed code ❑Not Applicable j
limits. . e
402.4.5 IC-rated recessed lighting fixtures ❑Complies
[FR161' sealed at housing/interior finish ❑Does Not
.and labeled to indicate <_2.0 cfm ,,.
leakage at 75 Pa. ❑Not Observable
❑Not Applicable
403.2.1 Supply and return ducts in attics ❑Complies
[FR12]1 insulated >= R-8 where, is ❑Does Not
>= 3 inches in diameter and >=
R-6 where< 3 inches.Supply and l❑Not Observable
return ducts in other portions of `!❑Not Applicable
-the building insulated>= R-6 for
diameter>= 3 inches and R-4.2
for<3 inches in diameter.
403.3.3.5 Building cavities are not used as ❑Complies
[FR15]3 ducts or plenums. ❑Does Not
-4 ❑Not Observable
❑Not Applicable j
403.4 :HVAC piping conveying fluids R-_ R-_ ❑Complies
[FR1711 above 105 QF or chilled fluids ❑Does Not
>
=below 55 QF are insulated to R-
- ❑Not Observable
❑Not Applicable j
403.4.1 A'Protection of insulation on HVAC ❑Complies
[FR24]1 'piping. ❑Does Not
❑Not Observable
El-Not Applicable j
403.5.3 :Hot water pipes are insulated to R-_ R-_ ❑Complies
WR 1812 ;aR-3. ❑Does Not
❑Nat Observable
❑Not Applicable
403.6 71MAutomatic or gravity dampers are ❑Complies
[FR19]2 "•installed on all outdoor air ❑Does Not
intakes and exhausts. ❑Not Observable
❑Not Applicable
1 I High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Report date: 07/26/17
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Additional Comments/Assumptions:
11 High Impact(Tier 1) JJA Medium Impact(Tier 2) 3 1 Low Impact(Ter 3)
Project Title: Report date: 07/26/17
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Section Plans Verified Fieid Verified
# Insulation Inspection Value Vaiue Complies? Comments/Assumptions
& Req.ID
303.1 All installed insulation is labeled '.❑Complies
[IN13]2 or the installed R-values ❑Does Not
provided. ❑Not Observable
❑Not Applicable j
402.1.1, Floor insulation R-value. R- R- ❑Complies ;See the Envelope Assemblies
402.2.6 E) Wood ❑ Wood ❑Does Not table for values.
[IN1]1 El steel ❑ Steel ❑Nat Observable
0 ❑Not Applicable
303.2, Floor insulation installed per ❑Complies
402.2.7 manufacturer's instructions and ❑Does Not
[IN231 in substantial contact with the ❑Not Observable
underside of the subfloor,or floor
''framing cavity insulation is in ❑Not Applicable j
contact with the top side of � ' •` �'"'
sheathing,or continuous
insulation is installed on the
underside of floor framing and
extends from the bottom to the
top of all perimeter floor framing
members.
I
402.1.1, .Wall insulation R-value. If this is a R- 'R-_ ❑Complies ;See the Envelope Assemblies
402.2.5, mass wall with at least 1f2 of the ❑ Wood ❑ Wood ❑Does Not ;table for values.
402.2.6 wall insulation on the wall ❑ Mass ❑ Mass ❑Not Observable
[I1,13]1 ;exterior,the exterior insulation
4 requirement applies(FR10). ❑ Steel ❑ Steel !❑Not Applicable j
303.2 :Wall insulation is installed per ❑Complies
[IN4]1 :manufacturer's instructions. [-]Does Not
[]Not Observable
❑Not Applicable
Additional Comments/Assumptions:
111 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Report date: 07/26/17
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Section —�---
# Final Inspection Provisions FPian errs ied FieldVerified Complies? Comments/Assumptions
&Req.iD
alue Value
402.1.1, Ceiling insulation R-value. R- R- :❑Complies See the Envelope Assemblies
402.2.1, E] Wood ',.❑ Wood ❑Does Not table for values.
402.2.2, ❑ Steel j❑ Steel ❑Not Observable
402.2.6
[Fill' ❑Not Applicable
303.1.1.1, !Ceiling insulation installed per ❑Complies
303.2 !manufacturer's instructions. '' ❑Does Not j
(F1211 Blown insulation marked every
ft'. [-]Not ft'. Not Observable
[]Not Applicable
Vented attics with air permeable ❑Complies
insulation include baffle adjacent - ❑Does Not
to soffit and eave vents that
extends over insulation. []Not Observable
❑Not Applicable
402.2.4 :Attic access hatch and door R-_ R-_ ❑Complies
IF1311 insulation >_R-value of the ❑Does Not
adjacent assembly. j❑Not Observable
j❑Not Applicable
4014.1.2 Blower door test @ 50 Pa. <=5 ACH 50 =_ ACH 50=_ ❑Complies
[FI1711 'ach in Climate Zones 1-2, and :❑Does Not
<=3 ach in Climate Zones 3-8. [--]Not Observable i
❑Not Applicable j
403.2.3 Duct tightness test result of<=4 cfm/100 cfm/100 ❑Complies
[F1411 'cfm/100 ft2 across the system or ft' ❑Does Not
�<=3 cfm/100 ft2 without air
handler @ 25 Pa. For rough-in ❑Not Observable
'tests,verification may need to ❑Not Applicable ;
;occur during Framing Inspection. :'
403.3.2 ';Ducts are pressure tested to cfm/100 cfm/100 ❑Complies
[F127]1 determine air leakage with ftz ftz j❑Does Not
Rough-in test:Total
leakage measured with a !❑Nat Observable
pressure differential of 0.1 inch j❑Not Applicable
'w.g. across the system including
;the manufacturer's air handler
enclosure if installed at time of
:test. Postconstruction test:Total
leakage measured with a
pressure differential of 0.1 inch
iw.g. across the entire system -
including the manufacturer's air
handier enclosure.
403.3.2.1 ;Air handler leakage designated ❑Complies
[F12411 :by manufacturer at<=2°.of ;r- '} ._,,, , -s, * ❑Does Not
design air flow.
c; ❑Not Observable
i❑Not Applicable
Programmable thermostats ❑Complies
installed for control of primary ❑Does Not
f heating and cooling systems and r
�sinitially set by manufacturer to 'm -. ❑Not Observable
code specifications. F` a x- ,� �� :;a ' ❑Not Applicable
403.1.2 Heat pump thermostat installed ❑Complies
1,Il,012 j on heat pumps. ❑Does Not
❑Not Observable
f ❑Not Applicable ;
403.5.1 Circulating service hot water ❑Complies
(Fldilj?..: ;systems have automatic or ❑Does Not
accessible manual controls.
❑Not Observable
❑Not Applicable ;
1 I High Impact(Tier 1) Medium Impact(Tier 2) '3-:.Low Impact(Tier 3)
Project Title: Report date:. 07/26/17
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7 Elk Ridge Plans\1266 RESCHECK.rck
Section IPlans Verified Field Verified
# Final Inspection Provisions Value Value Complies? Comments/Assumptions
& RegllD
403.6.1 All mechanical ventilation system ❑Complies
[FI2512 fans not part of tested and listed ❑Does Not
HVAC equipment meet efficacy
and airflow limits. ❑Not Observable
❑Not Applicable
1403.2 Hot water boilers supplying heat ❑Complies
j[FI261' through one-or two-pipe heating ;❑Does Not
systems have outdoor setback
control to lower boiler water ❑Not Observable
temperature based on outdoor ❑Not Applicable
'temperature.
3.5.1.1 Heated water circulation systems ❑Complies
(F12812 have a circulation pump.The ❑Does Not
system return pipe is a dedicated
return pipe or a cold water supply ❑Not Observable
pipe. Gravity and thermos- ❑Not Applicable
syphon circulation systems are
not present.Controls for
circulating hot water system
pumps start the pump with signal
'.,for hot water demand within the
occupancy.Controls
automatically tum off the pump
when water is in circulation loop
is at set-point temperature and
no demand for hot water exists.
403.5.1.2 Electric heat trace systems ❑Complies
[F12917 comply with IEEE 515.1 or UL ❑Does Not
515.Controls automatically
adjust the energy input to the :❑Not Observable
heat tracing to maintain the _ rT❑Not Applicable
desired water temperature in the
piping. 99
403.5.2 Water distribution systems that :';❑Complies
[F130]2 have recirculation pumps that ".❑Does Not
pump water from a heated water
supply pipe back to the heated ❑Not Observable
water source through a cold ❑Not Applicable
water supply pipe have a
demand recirculation water
system. Pumps have controls
that manage operation of the
pump and limit the temperature
of the water entering the cold
water piping to 1044F.
403.5.4 Drain water heat recovery units ❑Complies
[F13112 tested in accordance with CSA []Does Not
B55.1. Potable water-side ❑Not Observable
pressure loss of drain water heat
recovery units<3 psi for ❑Not Applicable
individual units connected to one
or two showers. Potable water-
'side pressure loss of drain water
heat recovery units<2 psi for
individual units connected to
three or more showers.
404.1 75%of lamps in permanent ❑Complies
[FI611 fixtures or 75%of permanent ❑Does Not
-fixtures have high efficacy lamps. ❑Not Observable
Does not apply to low-voltage
;lighting. ❑Not Applicable j
404.1.1 -;Fuel gas lighting systems have ❑Complies
[F12313 'no continuous pilot light. ❑Does Not
❑Not Observable
❑Not Applicable
1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: Report date: 07/26/17
Data filename: C:\Users\lrobision\Dropbox\VISION Engineering, LLC\Active Projects VE\1266 - DES - FHB Page 9 of 10
7 Elk Ridge Plans\1266 RESCHECK.rck
�Section ' Plans Verified Field Verified
# ; Final Inspection provisions Value Value Complies? Comments/Assumptions
9 Rec),tD
401.3 Compliance certificate posted. ❑Complies
IFI7]' ❑Does Not
I.`,; []Not Observable
s?❑Not Applicable
I
1303 3 I Manufacturer manuals for '.❑Complies
[FI18]3 mechanical and water heating !❑Does Not
;systems have been provided. ❑Not Observable
❑Not Applicable ;
Additional Comments/Assumptions: w T
1 IHigh Impact(Tier 1) 12'1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3)
Project Title: Report date: 07/26/17
Data filename: C:\Users\lrobision\Dropbox\VISION Engineering, LLC\Active Projects VE\1266 - DES- FHB Page 10 of 10
7 Elk Ridge Plans\1266 RESCHECK.rck
1z2015 IECC Energy
Efficiency Certificate
Insulation Rating R-Value
Above-Grade Wall 21.00
Below-Grade Wall 19.00
Floor 30.00
Ceiling / Roof 38.00
Ductwork (unconditioned spaces):
Glass& Door Rating U-Factor SHGC
Window 0.29
Door 0.29
Cooling;Heating&
Heating System:
Cooling System:
Water Heater:
Name: Date:
Comments
Job:
Manual S Compliance Report Date 1266
t)aie: Jul 3i, 20ir
Endre House By:
Plan: 11266
Project information_____
For: FOOTHILL BUILDERS
28 ELK RIDGE DR, QUEENSBURY, NY 12804
Cooling Equipment
Design Conditions
Outdoor design DB: 85.0°F Sensible gain: 20256 Btuh Entering coil DB: 75.3°F
Outdoor design WB: 71.0°F Latent gain: 4843 Btuh Entering coil WB: 62.6°F
Indoor design DB: 75.0°F Total gain: 25099 Btuh
Indoor RH: 50% Estimated airflow: 969 cfm
Manufacturees Performance Data at Actual Design Conditions
Equipmenttype: Split AC
Manufacturer: York Model: TCHD30S4lS3+HD36A3XH1+TM8XO6oAl2MP11+S1-lTVM4G1
Actual airflow: 933 cfm
Sensible capacity: 0 Btuh 0% of load
Latent capacity: 0 Btuh 0% of load
Total capacity: 0 Btuh 0% of load SHR: 0%
i Equipment
Design Conditions
Outdoor design DB: -4-0°F Heat loss: 95924 Btuh Entering coil DB: 65.0°F
Indoor design DB: 68.0°F
Manufacturer's Performance Data at Actual Design Conditions
Equipment type: Gas furnace
Manufacturer: York Model: TM9T100C16MP11
Actual airflow: 933 cfm
Output capacity: 96000 Btuh 100% of load Temp. rise: 50 OF
301.15-1-57 RC-000446-2017
Foothills Builders LLC
28 Elk Ridge Dr., Lot 7
SFD w/FP 1747 s.f., Garage 484 s.f.
Meets are all requirements ofACCA Manual S. JUL 3 i 2017
2017Jul31 10:50:55
�Rwrightsoft® Right-Suite®Universal 2017 17.0.16 RSU25116 Page 1
....langewonhy\Documents\York\28 ELK RIDGE DR.rup Calc=MJ7 Front Doorfaces: N
EE
Residential D ' RPER
ie ® Poem
ACCP . • . System Design
Ducts) , i5 Marbg
atcamvtgcarxlaadamata
QUEENSBURYNY
Header Information
Contractor: REQUIRED ATTACHMENTS ATTACHED
Manual J1 Form(and supporting worksheets): Yee ❑ No ❑
Mechanical license: or MJ1AE Form*(and supporting worksheets): Yee ❑ No ❑
OEM performance data(heating,cooling,blower): Yee ❑ No ❑
Building plan#: 1266 Manual D Friction Rate Worksheet: Yes ❑ No ❑
Duct distribution sketch: Yes ❑ No ❑
Home address(Street or Lot#,Block,Subdivision): 28 ELK RIDGE DR, Entire House
HVAC LOA P k
Design Conditions Building Construction Information
Winter Design Conditions Building
Outdoor temperature: -4 °F Orientation: Front Door faces North
Indoor temperature: 68 ^F North,Eeat,West,South,Northeast,Northwest,Southeast,Southwest
Total heat loss: 95924 Btuh Number of bedrooms: 3
Conditioned floor area: 4398 ft'
Summer Design Conditions Number of occupants: 0
Outdoor temperature: 85 °F
Indoor temperature: 75 °F Windows Rom
Grains difference: 27 gr/Ib @SO% RH Eave overhang depth: 0 ft
Sensible heat gain: 22507 Btuh Internal shade: none �V4
Latent heat gain: 5381 Btuh Blinds,drapes,ata. 0epm window
Total heat gain: 27888 Btuh Number of skylights: 0
HVAC EQUIPMENTl
Heating Equipment Data Cooling Equipment Data Blower Data
Equipment type: Gas furnace EViement type: SplitAC Heating cfm: 933
.mace,Hes pump,Boller,etc. it andhloner,Neat pump.etc. Cooling cfm: 933
Model: York Model: York Static pressure: 0 in H2O
TM9T100C16MP11 TCHD30S41S3 Fan's rated external Static pressure for
design airflow
Healing output capacity: 96900 Bluth Total cooling capacity: 0 Btuh
Neat pumps-capacity at winter design ou door conditions Sensible cooling capacity. 0 Btuh
Aux.healing output capacity: 0 Btuh Latent cooling capacity: 0 Btuh
' •
Design airflow: 933 cfm Longest supply duct: 0 it Duct Materials Used
Equipment design ESP: 0 in H2O Longest return duct: 0 it Trunk duct:
Total device pressure losses: 0 in H2O Total effective length(TEL): 0 ft
Available static pressure(ASP): 0 in H2O Friction rate: Q In/100ft Branch duct: Sheet metal
Friction Rate ASP+tTF1x 10 )
declare the load calculation,equipment,equipment selectionand duct design were rigorously performed based on - building
plan listed above I understand the claims made on these forms will be Subject to review and verification
Contractor's printed name:
Contractor's signature: Date:
MunicipalityReserved for County,Town
`Home qualifies for MJ1AE Form based on Abridged Edition Checklist
+ wrightsof * Right-SufteS universal 2017 17.0.16 RSU25116
Project Summa Job: 1266
Date: Jul 31,2017
Entire House By:
Plan: 1266
•
mect Information
For: FOOTHILL BUILDERS
28 ELK RIDGE DR, QUEENSBURY, NY 12804
Notes:
Desi-an Information
Weather: Glens Falls AP, NY, US
Winter Design Conditions Summer Design Conditions
Outside db -4 OF Outside db 85 OF
Inside db 68 OF Inside db 75 OF
Design TD 72 OF Design TO 10 OF
Daily range M
Relative humidity 50 %
Moisture difference 27 gr/Ib
Heating Summary Sensible Cooling Equipment Load Sizing
Structure 90241 Btuh Structure 19312 Btuh
Ducts 5684 Btuh Ducts 945 Btuh
Central vent (0 cfm) 0 Btuh Central vent (0 cfm) 0 Btuh
(none) (none)
Humidification 0 Btuh Blower 0 Btuh
Piping 0 Btuh
Equipment load 95924 Btuh Use manufacturer's data n
Rate/swing multiplier 0.90
Infiltration Equipment sensible load 18231 Btuh
Method Simplified Latent Cooling Equipment Load Sizing
Construction quality Average
Fireplaces 1 (Average) Structure 4843 Btuh
Ducts 0 Btuh
Central vent (0 cfm) 0 Btuh
Heating Cooling (none)
Area (ft21 4398 4398 Equipment latent load 4843 Btuh
Volume ') 39582 39582
Air changes/hour 0.90 0.40 Equipment total load 23074 Btuh
Equiv.AVF (cfm) 594 264 Req. total capacity at 0.70 SHR 2.2 ton
Heating Equipment Summary Cooling Equipment Summary
Make York Make York
Trade YORK Trade HORIZONTAL DISCHARGE
Model TM9T100C16MP11 Cord TCHD30S41S3
AHRI ref 2008690 Coil HD36A3XH1+TM8X060Al2MP11+S1-1TVM4G1
AHRI ref 3743063
Efficiency 96AFUE Efficiency 12.5 EER, 14 SEER
Heating Input 100000 Btuh Sensible cooling 19600 Btuh
Heating output 96000 Btuh Latent cooling 8400 Btuh
Temperature rise 94 OF Total cooling 28000 Btuh
Actual air flow 933 cfm Actual air flow 933 cfm
Air flow factor 0.010 cfm/Btuh Air flow factor 0.046 cfm/Btuh
Static pressure 0 in H2O Static pressure 0 in H2O
Space thermostat Load sensible heat ratio 0.81
Calculations approved by ACCA to meet all requirements of Manual J 7th Ed.
- wri ht5Of�'
2017-Jul-3110:50:55
g Right-Suite®Universal 2017 17.0.16 RSU25116 Page i
/tCCP.
....langeworthy\Documents\York\28 ELK RIDGE DR.rup Calc=MJ7 Front Door faces: N
Right-J® Worksheet Job: 1266
Entire House Date: Jul 31,2017
B
lan: 1266
MANUAL"7th Ed.
14Ceilings=ho
ame of roam Entire Hale Roant Raom2 Roorn3
ength aF exposed wall 646.0 ft 134.0 ft 128.0 ft 58.0 it
axn dimensions 1.0 x 860.0 ft 1.0 x 908.0 ft 1.0 x 376.0 it
Condit.Option 9.0 ftl d 9.0 Ill heallcod 9.0 ill heat/cool 9.0 Ill heat/cool
TYPE OF CST HTM Area Load(Stull Area Load(Stuh) Area Load(Btuh) Area Load(Btuh)
EXPOSURE NO. Htg I CIg (g) Htg I Clg (ft2) Htg Clg OF) Htg Cig (ft2) Htg Clg
5 Gross a 12E3 5.4 1.0 5814 •••• '••• 1206 ""' ^'• 1152 «•• .... 522 "•• ""'
Exposed b 0 0 111111 •"` `••• 111111 "" »'• 111111 «" «" 111111 ""' .""
walls and c 0 0 111111 •'•• "" 111111 """ '"" 111111 "" "" 111111 "•• '•••
partitions d 0 0 111111 "" "•' 111111 """' '»" 111111 •••• •••• 111111 "•• ••••
e 0 0 111111 "" "•' 111111 •"' "'• 111111 "•` ••" 111111 `^' "'•
f 0 0 111111 "" 111111 ••'• 111111 '""' 111111 ""
6 Wirdows and a 3130 28.0 « 225 5848 ^« 45 1170 "' 0 0 •^• 15 390 ••••
glass doors b 0 « 0 0 - 0 0 »•' 0 0 ••^ 0 0 "'•
Heating c 0 '• 0 0 ••" 0 0 "•' 0 0 •••• 0 0 »'•
d 0 0 0 0 0 `• 0 0 0 0 »
e 0 0 0 "" 0 0 0 0 0 0
f 0 • 0 0 '»' 0 0 0 0 0 0
7 Windows and North 17.0 55 "`• 935 15 "" 255 0 •••' 0 0 '^• 0
glass doors NE/NW 0 0 "•• 0 0 "" 0 0 •••' 0 0 "•• 0
Coding E/W 620 75 `••• 4650 30 »» 1860 0 •«• 0 15 '••• 930
SE/SW 0 0 •••• 0 0 "" 0 0 •'^ 0 0 '•^ 0
South 30.0 95 "" 2850 0 "^ 0 0 •^• 0 0 '^• 0
Hoz 0 0 "•' 0 0 "'• 0 0 "" 0 0 •^' 0
8 Other doors a 10D0 33.1 6.3 42 1391 283 0 0 0 0 0 0 42 1391 263
b 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c o 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Net a 12E3 5.4 1.0 5547 29854 5658 1181 6269 1184 1152 6221 1175 465 2511 474
exposed b 0 0 111111 0 0 111111 0 0 111111 0 0 111111 0 0
walls and c 0 0 111111 0 0 111111 0 0 Hill 0 0 111111 0 0
Partitions d 0 0 111111 0 0 111111 0 0 Mill 0 0 111111 0 0
e 0 0 111111 0 0 111111 0 0 111111 0 0 111111 0 0
f 0 0 111111 0 0 111111 0 0 111111 0 0 111111 0 0
10 Ceilings a 1600 24 1.1 1830 4348 2053 0 0 0 52 124 68 0 0 0
b 0 0 111111 0 0 111111 0 0 111111 0 0 111111 0 0
c 0 0 111111 0 0 111111 0 0 Mill 0 0 111111 0 0
d 0 0 111111 0 0 111111 0 0 111111 0 0 111111 0 0
e 0 0 111111 0 0 111111 0 0 111111 0 0 1061 0 0
f 0 0 111111 0 0 111111 0 0 111111 0 0 111111 0 0
11 Floors a 1910 1.7 0 860 1486 0 850 1486 0 0 0 0 0 0 0
(Note:room b 1910 1.7 0 96 166 0 0 0 0 48 83 0 0 0 0
perimeter c 1910 1.7 0 14 24 0 0 0 0 0 0 0 0 0 0
is displ. d 0 0 111111 0 0 HIM 0 0 111111 0 0 uuu 0 0
for slab e 0 0 111111 0 0 111111 0 0 111111 0 0 111111 0 0
flops) f 0 0 111111 0 0 111111 0 0 HIM 0 0 111111 0 0
12 miltratim I 178 I 10.9 267 47023 2903 45 7825 489 0 0 0 57 10039 620
Ventilation 0 0 0 0 0 0 0 0
13 Subtotal loss=6+8..+11+12 - 90241 »" "•' 16850 .»' "« 6427 "" 14331 »'"
Less external healing 0 •••• '• o "' 0 •• 0
Less transfer 0 •«• 0 "' 0 '« 0 ^•
Heating redstributiol 0 •••• «» 0 •••• ••'• 0 ••• •••• 0 ••••
14 Duct loss 6% 504 "" 6% 1081 »" 6% 405 ""' 6% 903
15 Trial loss=13+14 •••• 95824 .»• «« 17912 ^« - 8832 15233
16 IM.gains: People 300 0 - 0 0 "" 0 0 "" 0 0 "^ 0
Appl. @ 1200 0 - 0 0 "" 0 0 '«' 0 0 "» 0
17 Snbtot RSH gain=7+8..+12+16 «•• .^• 19312 "" "" 3788 "" "" 1233 «« "^ 2287
Less external coding ••• •• 0 •••• 0 "• ••• 0 •" 0
Less transfer •••• •,•• 0 •••• •••• 0 •••• •••• 0 •••• •••• 0
Coding redisbibutim •••• «• 0 •« •••• 0 •• ••• 0 ••• ••• 0
16 Duct gann 5% "` 945 5% "« 185 ^5% " 60 5% "' 112
19 Total RSH gain=(17+18)•PLF 1.00 ... 20256 1 84
3974 1.00 12.00 "•' 1.00 •" 2399
20 Air reored(cfm) 933 933 174 183 ... 66 60 148 111
Calculations approved by ACCA to meet all requirements of Manual J 7th Ed.
[SoR• 2017-Ju431 10:50:65
wrigh
Full Universal 2017 17.0.16 RSU25116 Page 1
.SCCA ....iangewudhyMocuments\Ybr028 ELK RIDGE DR.mp Calc=MJ7 Front Doorfeces: N
Right-JO Worksheet Job: 1266
Entire House Date: Jul 31,2017
B :
Plan: 1266
MANUAL J:7th Ed.
]Cefllngs
ame I roan Roorn5 Rcom6 Rcorn7 Rccm8
ength 0f exposed wall 13.0 ft 24.0 ft 120 ft 7.0 R
oom dimensions 10.0 x 13.0 ft 1.0 x 129.0 ft 6.0 x 6.0 ft 9.0 x 7.0 ft
Condit.Option 9.0 ft i heatfcod 9.0 ftl heat/cod 9.0 Itl heatfcool 9.0 ft heaVcod
TWE OF CST HTM Area Load(Btuh) Area Load(Btuh) Area Load(Btuh) Area Load(Btuh)
EXPOSURE NO. Htg I CIg (ftx) Htg I CIg (ft2) Htg CIg (ft2) Htg I Clg (ft2) Htg I Clg
5 Gnus a 12E3 5.4 1.0 117 "" "' 216 «« »• 108 «•• •» 63 *,»
Exposed b 0 0 111111 "' 111111 ••« •" 111111 "' II!III «• ••'
wails and c 0 0 IIIIII •`•• "" 111111 "•• `•`• Mill
partitions d 0 0 IIIIII "•• "' 111111 `••• ••` 111111 `•" « !111!1 "•• «`
e 0 0 IIIIII •••` "" 111111 `«• "•' 111111 "« "" 111111 •••• "'•
f 0 0 111111 «« « 111111 "« ••' !11111 "" 111111 •••'
6 W!nda and a 3D0 26.0 •' 15 390 ••« 25 650 "« 10 280 «" 0 0 •••`
glass doors b 0 0 0 '••' 0 0 ••• 0 0 0 0
Heating c 0 0 0 "' 0 0 '• 0 0 « 0 0
d 0 •• 0 0 0 0 ...• 0 0 "'• 0 0
e 0 0 0 '••` 0 0 0 0 0 0
f 1 0 '• 0 0 '•" 0 0 "" 0 0 "•' 0 0 •"'
7 Windows and North 17.0 0 "" 0 0 •"' 0 0 "" 0 0 •«• 0
glass doors NE/NW 0 0 •'• 0 0 "« 0 00 0 0 •••• 0
FJ
Cooling W 620 15 «« 930 0 «" 0 0 •' 0 0 " 0
SE/SW 0 0 •"` 0 0 "" 0 0 "« 0 0 •• 0
South 30.0 0 "" 0 25 "" 750 10 "» 300 0 "•'• 0
Horz 0 0 "•• 0 0 "" 0 0 •"' 0 0 •"•' 0
8 Other doors a 1000 33.1 6.3 0 0 0 0 0 0 0 0 0 0 0 0
b 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Net a 12E3 5.4 1.0 102 651 104 191 1031 195 98 529 100 63 340 64
exposed b 0 0 IIIIII 0 0111111 0 0 IIIIII 0 0 111111 0 0
wells and c 0 0 IIIIII 0 0 111111 0 0 111111 0 0 111111 0 0
partitions d 0 0 111111 0 0 111111 0 0 111111 0 0 mut 0 0
e 0 0 IIIIII 0 0 111111 0 0 111111 0 0 111111 0 0
I 0 0 111111 0 0 111111 0 0 IIIIII 0 0 111111 0 0
10 Ceilings a 1660 24 1.1 0 0 0 0 0 0 24 57 27 0 0 0
b 0 0 IIIIII 0 0 111111 0 0 111111 0 0 111111 0 0
c 0 0 IIIIII 0 0 111111 0 0 111111 0 0 111111 0 0
d 0 0 IIIIII 0 0 111111 0 0 111111 0 0 111111 0 0
e 0 0 111111 0 0 111111 0 0 111111 0 0 111111 0 0
f 0 0 111111 0 0 111111 0 0 111111 0 0 IIIIII 0 0
11 Floors a 1910 1.7 0 0 0 0 0 0 0 0 0 0 0 0 0
(Note:room b 1910 1.7 0 0 0 0 11 19 0 6 10 0 0 0 0
pen
meta c 1910 1.7 0 0 0 0 0 0 0 0 0 0 0 0 0
IS rLsp. d 0 o 111111 0 0 111111 0 0 m111 0 0 111111 0 0
for slab e 0 0 111111 0 0 111111 0 0 1!!1!1 0 0 111111 0 0
floors) f 0 0 111111 0 0 111111 0 0 111111 0 0 1!1111 0 0
12 Infiltration a178 10.9 15 2642 163 25 4403 272 10 1761 109 0 0 0
Ventilation 0 0 0 0 0 0 0 0
13 Subtotal loss=6+8.+11+12 "" 3582 - - 6103 "" "`• 2618 '••' •"' 340 '«•
Lass external heating 0 "`• "'• 0 0 « 0 •••
Lass transfer "• 0 "'• "" 00 » 0 »•
Heating redistribution «.. p «« ,,,, p +..+ ... p .« «.. p +,*'
14 Duct loss 6% 225 •"' 6% 384 ""' 6% 165 «« 6% 21 "'•
15 Total loss=13+14 `••' 3808 "" - 6488 '«: ••" 2783 •• «" 362 `••.
16 Int.gains: People 300 0 «` 0 0 ••« 0 0 .� 0 0 •« 0
Appl. @ 1200 0 •••` 0 0 "" 0 0 « 0 0 0
17 Sublet RSH gain=7+e_+12+16 «` 1197 `••` '•" 1217 `•' "' 636 "` "• 64
Less external coding ••. ••• 0 •«• •,• 0 "' ••, 0 •« •• 0
Less transfer ».. .... p ,,.. .... p .... .,., p ..« ,... p
Coding redistribution •• ••• 0 » «•• 0 ••• ••• 0 «• 0
18 Dud gam «5% ••• 59 «5% 60 5% ••• 25 596 "» 3
19 Total RSH gain=(17+18)'PLF 1.00 1258 1.00 '•'• 1276 1.00 "' 582 1.00 •« 87
20 Air required(cfm) 37 58 631 59 27 25 41 3
Calculations approved by ACCA to meet all requirements of Manual J 7th Ed.
2017Jul-3110:50:55
I& Wri hisOTt' Right-SuBe®Unilwsa12017 17.0.16 RSU25116 Page 2
....langeworthyMocumentsWork128 ELK RIDGE DR.nrp Calc=MJ7 From Doorfaces: N
Right-JO Worksheet Job: 1266
Entire House Date: Jul 31,2017
B :
Plan: 1266
MANUAL J:7th Ed.
1 Name of mom Roorn9 Room10 Roorn12 Rccm13
2 Length of exposed wall 14.0 ft 128.0 ft 9.0 it 10.0 ft
3 Roam dimensions 1.0 x 170.0 ft 1.0 x 863.0 ft 4.0 x 5.0 ft 10.0 x 10.0 H
4 Callings Condit.Option 9.0 ft heaticool 9.0 ft heat/cool 9.0 If heat/000l 9.0 ft heat/cool
TYPE OF CST HTM Area Load(Btuh) Area Load(Btuh) Area Load(Btuh) Area Load(Btuh)
EXPOSURE NO. Htg CIg (ft-) Htg Clg (in Htg Clg (ft) Htg Clg UP) Htg CIg
5 Gross a 12E3 5.4 1.0 128 ••• •••• 1152 "'• ••• 81 •«• «+ 90 '••• •••
Exposed b 0 0 111111 "" «» 111111 •`•' •••• 111111 «•• '••• HIM '•» ••••
walls and c 0 0 111111 "•' 111111 "'" •• 111111 `•" I!1!ll "»
partitions d 0 0 111111 •••• "+• 111111 '•" • 111111 ••" III1!1
e 0 0 111111 •"' ••« 111111 "•' 111111 •••• »' Illlll '••` "•
f 0 0 111111 •'•' ' 111111 »» 111111 •"' "" !11111 '"" '
6 Windows and a 3D0 25.0 « 15 390 '"» 0 0 •••. 0 0 ••'+ 15 390 ....
glass ticas b 0 '• 0 0 ••« 0 0 .... 0 0 •••+ 0 0 ••••
Heating c 0 •• 0 0 """ 0 0 +•++ 0 0 "" 0 0 •••'
d 0 0 0 "••• 0 0 »• 0 0 0 0 ••'
e 0 0 0 »•• 0 0 "•• 0 0 +•• 0 0 "•
7 Windvcs and North 17.0 0 •'•• 0 00 0 0 •'•' 0 0 ""' 0
glass doors NE/NW 0 0 •••' 0 0 »» 0 0 »» 0 0 '»• 0
Cooling E/W 620 0 "•" 0 0 "'• 0 0 ••'• 0 15 "» 830
SE/SW 0 0 »'• 0 0 "" 0 0 •••' 0 0 "» 0
South 30.0 15 '- 450 0 "" 0 0 ••« 0 0 »•+ 0
Horz 0 0 ••. 0 0 '»• 0 0 0 0 '» 0
8 Other doors a 10DO 33.1 6.3 0 0 0 0 0 0 0 0 0 0 0 0
b 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Net a 12E3 5.4 1.0 111 599 113 1152 6221 1175 81 437 83 75 405 77
exposed b 0 0 111111 0 0 111111 0 0 111111 0 0 HIM 0 0
walls and c 0 0 111111 0 0 111111 0 0 111111 0 0 111111 0 0
partitions d 0 0 111111 0 0 111111 0 0 Illlll 0 0 111111 0 0
e 0 0 111111 0 0 111111 0 0 111111 0 0 111111 0 0
f 0 0 111111 0 0 111111 0 0 111111 0 0 111111 0 0
10 Ceilings a 1660 24 1.1 28 67 31 883 2050 868 20 48 22 100 238 112
b 0 0 111111 0 0 111111 0 0 111111 0 0 111111 0 0
c 0 0 111111 0 0 Illlll 0 0 111111 0 0 111111 0 0
d 0 0 111111 0 0 111111 0 0 111111 0 0 111111 0 0
e 0 0 111111 0 0 111111 0 0 111111 0 0 111111 0 0
f 0 0 1111111 0 0 111111 0 0 111111 0 0 111111 0 0
11 Floors a 1910 1.7 0 0 0 0 0 0 0 0 0 0 0 0 0
(Note:room b 1910 1.7 0 31 54 0 0 0 0 0 0 0 0 0 0
perimeter c 1810 1.7 0 0 0 0 7 12 0 0 0 0 0 0 0
is crisp]. d 0 0 111111 0 0 I II III 0 0 111111 0 0 111111 0 0
for slab e 0 0 111111 0 0 111111 0 0 111111 0 0 111111 0 0
floors) f 0 0 111111 0 0 111111 0 0 111111 0 0 111111 0 0
12 In88mtion 15 2642 163 0 0 0 0 0 0 15 2642 163
ventilation 0 0 0 0 0 0 0 0
13 Subtotal loss=e+8.+11+12 '»• 3751 - - 8283 •«• «•• 485 •-- "»+ 3874 ••••
Less external heating ••• 0 •»• g ... ... 0 .« •,. 0 «.
Less transfer •• 0 «++ ... 0 +... ... 0 .. 0 .•.
.. ... +
Heating redistribution «+• p «.• .... 0 .... 0 ..+. 0 ....
14 Duct loss •»"loss= 13.14 39+•6% 236 "•• 6% 522 •••• ++6% 31 ••". 6% 231 ••••
15 Total 87 »» 8805 »•• 515 •»' 3905 "•••
16 Int.gains: People @ 300 0 +.+. 0 0 •'« 0 0 '•`• 0 0 - 0
17 Subtot RSH Apel @ 1200 0 «. 0 0 ••" 0 0 +' 0 0 •» 0
gain=7+8.+12+16 758 _ 2143 105 •" 1282
Less external coding •• o 0
••+• 0 «• 0 •..
ran »
Less tsfer ..« 0 .... ..« 0 .«. .�.. 0 .«. .•," 0
Coding redistribution «• ••• p .... .« 0 .«+ . 0 .... ... 0
18 Dud gain 5% •" 37 5% ""• 105 5% 5 5% "' 63
18 Total RSH gain=(17+18)•PLF 1.00 '••• 785 1.00 '••• 8 1.00 • 110 1.00 '••' 1344
20 Air required(cfm) 39 224
37 86 104 5 5 38 62
Calculations approved by ACCA to meet all requirements of Manual J 7th Ed
wrightsoft' Right-Sucre®Universal 2017 17.0.16 RSU25116 2017-Jul-3110:50:55
....langewodhyWocumentslYork128 ELK RIDGE DR.rup Calc=MJ7 Front Door faces: N Page 3
Right-JO Worksheet Job: 1266
Entire House Date: Jul 31,2017
B
Plan: 1266
MANUAL J:7th Ed.
1 Name of man Room14 Room15 Roan16 RMM17
2 Length of exposed wall 10.0 It 34.0m dft 0 k 7.0 ft
3 Roomerears 10.0 x 5.0 ft ft ft ft
14.0 x 16.0 4.0 x 6.0 8.0 x 7.0
4 Ceilings I Condit.Option 9.0 it I heat/cool 9.0 Itl teal/cool 9.0 I'll heaVC001 9.0 ft heat/cool
TYPE OF CST HTM Ata Load(Btuh) Area Load(Btuh) Area Load(Btuh) Area Load(Btuh)
EXPOSURE NO. Htg I Clg (ft-) Htg I Clg (117) Htg Clg (ftp Htg CIg (ft') Htg Clg
5 Gross a 12E3 5.4 1.0 90 «« .«, 306 .... .«. p ..., ,.., 63 .«. .,..
Exposed b 0 0 Ifllll «'• "« 111111 •••` "" 111111 •••• '«' 111111 """ •«"
walls and c 0 0 111111 «« „« 111111 '•"` "" 111111 •••' "" 111111 "«• •••'
Petitions s d 0 0 111111 '•'• "'• 111111 •••' ••» 111111 •••• "« 111111 «"•• '•••
e 0 0 111111 "" "'• 111111 '••' "» 111111 "" "" 111111 """ '•"
1 0 0 111111 '•" "" 111111 »•• 111111 •"' 111111 «"' »
6 Windows and a 3D0 26.0 " 10 280 "'• 30 780 «« 0 0 "" 0 0 •"•
glass doors b 0 « 0 0 •"• 0 0 "" 0 0 "•' 0 0 •»-
Healing c 0 » 0 0 ••'• 0 0 •'« 0 0 "" 0 0 -
d 0 •' 0 0 "" 0 0 "••• 0 0 '•" 0 0 -
e 0 • 0 0 «« 0 0 '"• 0 0 '« 0 0 «
If 0 0 0 «« 0 0 « 0 0 « 0 0
7 Windows and Nath 17.0 10 170 30 .... 510 0 "•• 0 0 "•« 0
glass dais NE/NW 0 0 •••• 0 D •"• 0 0 '»• 0 0 ••» 0
Cooling E/W 620 0 •••• 0 D «'• 0 0 •••• 0 p ..« p
SE/SW 0 0 •••• 0 0 ••'• 0 0 "" 0 0 •"' 0
South 30.0 0 "" 0 0 '•'• 0 0 "" 0 0 '•'• 0
Haz 0 0 ••» 0 0 "'• 0 0 "" 0 0 ••« 0
8 Other doors a tODO 33.1 6.3 0 0 0 0 0 0 0 0 0 0 0 0
b 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c D D 0 0 0 D 0 0 0 0 0 0 0 0
9 Net a 12E3 5.4 1.0 60 432 82 276 1490 2820 0 0 63 340 64
exposed b 0 0 111111 0 0 111111 0 0 111111 0 0 111111 0 0
walls and c 0 0 111111 0 0 111111 0 0 111111 0 0 111111 0 0
partitions d 0 0 111111 0 0 111111 0 0 111111 0 0 111111 0 0
e 0 0 111111 0 0 111111 0 0 111111 0 0 111111 0 0
f 0 0 111111 0 0 111111 0 0 111111 0 0 111111 0 0
10 Ceilings a 16G0 24 1.1 50 119 56 224 532 251 24 57 27 56 133 63
b 0 0 111111 0 0 111111 0 0 111111 0 0 111111 0 0
c 0 0 111111 0 0 Ilflif 0 0 111111 0 0 111111 0 0
d 0 0 111111 0 0 Ilflll 0 0 111111 0 0 111111 0 0
e 0 0 111111 0 0 111111 0 0 111111 0 0 111111 0 D
1 0 0 111111 0 0 111111 0 0 111111 0 0 111111 0 0
11 Floors a 1910 1.7 0 0 0 0 0 0 0 0 0 0 0 0 0
(Note:room b 1910 1.7 0 0 0 0 0 0 0 0 0 0 0 0 0
perimeter c 1910 1.7 0 0 0 0 4 7 0 0 0 0 0 0 0
is dspl. d 0 0 111111 0 0 111111 0 0 mut 0 0 tum o 0
for slab e 0 0 111111 0 0 111111 0 0 null 0 0 111111 0 0
floors) f 0 0 1111 0 0 11111 0 0 111111 0 0 111111 0 0
12 Infiltration a 1 176 10.9 10 1761 109 30 5284 326 0 0 0 0 0 0
Ventilation 0 0 0 0 0 0 0 0
13 Subtotal loss=6+8..+11+12 •... 2572 .... ,•.. 8093 '"•• ,•'• 57 '••• •••, 473 •••.
Less external heating •••• o »« ,,,. p .«. ,.., p .... .... p .,.,
Less transfer «.. p .«. ,«. p ..,. ,... p .... «.. p ..«
Healing redistribution «•' 0 "•' "" 0 «• '» 0 »' 0
14 Duct loss 8% 162 «« 6% 510 »« 6% 4 •'•• 6% 30 "«
15 Total loss=13+14 „ 2734 "" 8603 « "' 61 «' '» 503
16 Int.gains: People C 300 0 •'•' 0 0 •••• 0 0 ••» 0 0 ••» 0
App. @ 12D0 0 - 0 0 ••.. 0 0 '•« 0 0 •"» 0
17 Sublot RSH gain=7+11-+12+16 '•'• - 416 •••• "" 1369 "" '•'• 27 "" "'« 127
Less external cooling •••• .«. p .... .... p .«. .... p .«. .... p
Less transfer ••• «• o •••• •••• p •• ••• p «. 0
Cooling redistribution •••. •«• D •••• •••• 0 •••• p «.. ..« p
18 Dud gain 5% '«• 20 5% '•'• 67 5% .... 1 5% '"" 6
19 Total RSH gairF(17+18)•PLF 1.00 ,«, 437 1.00 .... 1436 1.00 •••. 28 1.00 •"• 133
20 Air required(dm) 27 20 84 66 1 1 5 6
Calculations approved by ACCA to meet all requirements of Manual J 7th Ed.
-Pk Wrrightsoft• 2017-Jul-3110:50:55
Right-Sidle®Universal 2017 17.0.16 RSU25116 Page 4
�� ....langewodhy\Documents\York\28 ELK RIDGE DR.rup Calc=MJ7 Front Door faces: N
Right-M Worksheet Job: 1266
Entire House Date: Jul 31,2017
B :
Plan: 1266
42ifingsConcUt.
NUAL J:7th Ed.
of room Rcom18 Roon19 Room20 Rocm21
et exposed wall 16.0 ft 27.0 H 10.0 ft 5.0 ft
dimensions 8.0 x 8.0 ft 11.0 x 11.0 ft 10.0 x 10.0 ft 1.0 x 104.0 ft
s Condit.Option 8.0 ft h�t/cod 9.0 ft neat/cad 9.0 ft heaUcod 9.0 ft heaVcodOF CST FLTPA Area Load(Blah) Area L.wtl(Blah) Area Loatl(Blah) Area Loatl(Btrb)
URE NO. Htg Clg (ft-) Htg Clg (ftp Htg Clg (ftp Htg Clg (ftp Htg Clg
a 12E3 5.4 1.0 144 .••• `••• 243 •,•• ,,•• W "•• ••'• 45d b 0 0 111111 •`» «'• 145nd c 0 0 111111 «» •••• 111111 •«' 111111 »•• ••• 111111 ""'
partitions d 0 0 111111 •••• •••• 111!11 "" ••« 111111 •"' •••• 111111 ••••
e 0 0 111111 ^•• «• IIIIII •••• •» 111111 »" »• 111111 "'•'
f 0 0 111111 •'•' "" 111111 '••• 111111 •••• ••• Iltlll •••'
6 Windows and a 3D0 26.0 » 20 520 •••• 15 390 ••"' 0 0 •»• 10 280 «
glass doors b 0 « 0 0 '••• 0 0 "'• 0 0 . 0 0
Heating c 0 •' 0 0 »» 0 0 "" 0 0 «•' 0 0 ••••
d 0 » 0 0 •••• 0 0 "•• 0 0 '••• 0 0
7 Wirdows and Nath 17.0 0 »•• 0 0 '••• 0 0 •'» 0 0 ••« 0
glass doors NE/NW 0 0 •"' 0 0 •••• 0 0 »« 0 0 •'•• 0
Coding E/W 620 0 "" 0 0 •••• 0 0 •••' 0 0 •••• 0
SE/SW 0 0 "" 0 0 •••' 0 0 •`•` 0 0 •"• 0
South 30.0 20 "'• 600 15 •'•• 450 0 - 0 10 •••' 300
Harz 0 0 "" 0 0 •••• 0 0 •'•' 0 0 •••• 0
8 Other doors a 10D0 33.1 6.3 0 0 0 0 0 D 0 0 0 0 0 0
b 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c 0 0 0 D 0 01 0 0 0 0 0 o D 0
9 Net a 12E3 5.4 1.0 124 670 126 228 1231 233 90 486 92 35 189 36
exposed b 0 0 111111 0 0 111111 0 0 111111 0 0 111111 0 0
walls am c 0 0 111111 0 0 111111 0 0 IIIIII 0 0 111111 0 0
partitions d 0 0 111111 0 0 IIIIII 0 0 111111 0 0 111111 0 0
e 0 0 111111 0 0 111111 0 0 111111 0 0 IIIIII 0 0
f 0 0 1111111 0 0 111111 0 0 111111 0 0 111111 0 0
10 Ceilings a 1660 2.4 1.1 64 152 72 121 287 136 100 238 112 104 247 117
b 0 0 HIM 0 0 111111 0 0 111111 0 0 111111 0 0
C 0 0 111111 0 0 111111 0 0 111111 0 0 Hull 0 0
d 0 0 111111 0 0 111111 0 0 IIIIII 0 D 111111 0 0
e 0 0 111111 0 0 IIIIII 0 0 111111 0 0 1111110 0
f 0 0 111111 0 0 111111 0 0 111111 0 0 111111 0 0
11 Floors a 1910 1.7 0 0 0 0 0 0 0 0 0 0 0 0 0
(Nate:room b 1910 1.7 0 0 0 0 0 0 0 0 0 0 0 0 0
perimeter c 1910 1.7 0 0 0 0 3 5 0 0 0 0 0 0 0
is dspl tl 0 0 111111 0 0 111111 0 0 111111 0 0 IIIIII 0 0
for slab e 0 0 111111 0 0 111111 0 0 111111 0 0 111111 0 0
fkxxs) f 0 0 111111 0 0 111111 0 0 IIIIII 0 0 111111 0 0
12 Infiltration a 178 10.9 20 3522 217 15 2642 163 0 0 0 10 1761 109
Ventilation 0 0 0 0 0 0 0 0
13 Subtetal loss=6+8_+11+12 4864 •" 4656 ••• 724 » 2457 «,
Less extend heating 'm+ 0 ,•« •«, p •�• •••• 0 •••• •«• 0 ••••
Less transfer ••« 0 ••« •••• D ,»• •••• 0 ••„ •»• 0 »••
Heating redistribution 0 •••• ••,• 0 •»' •••, 0 •••• ••» 0 ••••
14 Duct loss 6% 306 ••« 6% 287 6% 46 ••' 6% 155 •"
15 Total loss=13+14 5170 '« ' 4842 •" • 789 »' 2612 '»
16 Int.gains: People @ 3Do 0 '•» 0 0 •••• 0 0 ••» 0 0 "» 0
Appl. @1200 0 '•'• 0 0 •••• 0 0 •••• 0 0 "« 0
17 Sublet RSH gain=7+e.+12+16 _ 1016 ••» •• 981 •• 204 •'• 561
Less external coding « _ 0 .,,, 0 ... 0 ..
Less transfer •••• •••• 0 � •»• 0 ..., •••• 0 ,••• «•• 00
Cooling redistribution •«' 0 »•• •••• 0 »« •••• 0 ,••• ,«• 0
18 Duct gain ••5% ••• 50 5% '••• 48 5% »• 10 5% •» 27
19 Total RSH gain=(17+18)"PLF 1.00 1065 1.00 •• 1029 1.00 214 1.00 •• 589
20 Air requred(cfm) .,. 50 49 » 47 47 7 10 251 27
Calculations approved by ACCA to meet all requirements of Manual J 7th Ed
l� wrilghtsoft` Right-Suae®Universal 2017 17.0.16 RSU25116 2017-Jul-31 10:50:55
AM ....langewonhy\Documenta\york128 ELK RIDGE DR.mp Cele=MJ7 Front Door faces: N Page 5
-- -~ 301.15-1-57 RC-000446-2017
Foothills Builders LEGEND
JUL ( � 28 Elk Ridge Dr., Lot 7
2 201? ; : SFD w/FP 1747 s.f., Garage 484 s.f. IRF IRON ROD FOUND
v LI IPF IRON PIPE FOUND
IRS IRON ROD SET
UTILITY POLE
aNGF._.. `€::.. water �s (D.x� STONE WALL
shut off s water x WIRE FENCE
shut off
— o CHAIN LINK FENCE
❑ — WOOD FENCE
o POINT �,
(�
F.P. FENCE POST
ohw— OVERHEAD WIRES
LOT 6
catch b sin n/f NOW OR FORMERLY
cat h basin W —M
30.2' N 86'07'24"E q
Lands n/f � S06'39'25"W � w
Jennifer P. Rowley 29 2.18325"
& Andrew J. Cartier w ter
140.2' 25' SIDE BUILDING SETBACK �� .� sh t off �' water MAP REFERENCE:
L. 4518 P. 038 '� shut off 1) "MAP OF A SUBDIVISION OF LAND MADE FOR FOOTHILLS BUILDERS LLC'
QS' 4D I� DATED 10/03/14, PREPARED BY BOLSTER AND ASSOCIATES PROFESSIONAL U
LOT 7 �o��� 1�L/�� (,, LAND SURVEYORS.
I AREA — PROPOSED PROPOSED
FOUNDATION DRIVEWAY �y�J'" �� �. NOTES: ri
I 0.85± ACRES = w
0 57.4. v�� 1) BASE MAP PREPARED FROM A JANUARY 2014 FIELD SURVEY.
4
n / � 2) NORTH ORIENTATION IS BASED ON MAP REFERENCE 1.
LL.I �I PROPOSED SEPTIC JI
3) THIS SURVEY WAS PREPARED WITHOUT THE BENEFIT OF AN ABSTRACT D,
— JOF TITLE AND IS THEREFORE SUBJECT TO ANY EASEMENTS, COVENANTS
Lf) S — — — — 31.0' OR RESTRICTIONS OF RECORD ANY STATEMENT OF FACTS SUCH DOCUMENT
}�p c�I / WOULD DISCLOSE.
I;') N c�
(p O 4) SUBJECT TO APPLICABLE LAWS AND APPROVALS OF THE TOWN, COUNTY, AND STATE
O N ��G 5 REGARDING DEVELOPMENT OF LAND.
water ❑ 5) UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A LICENSED LAND
I ,� shut off catch basin SURVEYORS SEAL IS A VIOLATION OF SECTION 7209, SUB—DIVISION 2, OF THE
NEW YORK STATE EDUCATION LAW.
S6 6) ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED WITH AN ORIGINAL OF THE
LAND SURVEYORS SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES.
LOT 8 PERMIT p�—=T PLA1'1 7) UNDERGROUND UTILITIES, STRUCTURES AND FACILITIES HAVE BEEN SHOWN FROM
I HAVE PERSONALLY MEASURED THE DISTANCE SURFACE LOCATIONS AND MEASUREMENTS OBTAINED FROM A FIELD SURVEY.
FROM THE PROPERTY LIMES TO THE THERE MAY BE OTHER UTILITIES WHICH THE EXISTENCE OF ARE NOT KNOWN. SIZE,
TYPE AND LOCATION OF ALL UTILITIES AND STRUCTURES MUST BE VERIFIED BY
PRpf OSED STRUCT RE(S) OR SIGN(S) PROPER AUTHORITIES PRIOR TO ANY AND ALL CONSTRUCTION. CALL DIG SAFE PRIOR
TO ANY EXCAVATION.
1-7
NATURE DATE
PLOT PLAN MADE FOR
E�Etio�9,� FOOT ISI LLS BUILDERS LLC
GRAPHIC SCALE '
x Town of Queensbury County of Warren State of New York
50 0 25 50 100 200
• Sao cv AWSSELL C. HOWARD
LICRAYSED LAND SURVEYING
342 Main Street, Hudson Falls, New York 12839
( IN FEET
1 inch = 50 ft. Russell E. Howard, PLS N.Y.S. Lic. No. 50540 Date: 07/22/17 Sheet 01 of 01
Date Sealed: Scale: 1 inch = 50 feet Revised: Drawing #:13074L7PP
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
'k'� to Permit No.......................................Cert. NQ 44998
Cut-in Card No.....................................
Owner....��p G... I I.L. .. ..... ., p../.�.........................../................................../...............
Location.�:.g.... L �r �ep,..,�ol �..... ..e..8............................L.�,�.G> �tl ..............
Installation Consisting of.c,7.k?...i /�? .. A.. �...�J . .........
....................................................................................................................................................................................
Installed By....4.,.....c l)&9 ...................................Lic.No...................................................
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilegeof makin inspections at any time, and if its
rules are violated,the Company shall have the righ/I..
oke t s ert ficate.Date...�l....�c...l....^. ........... INSPECTOR... .. . ..... ........ .......�*�+ �.........................
Member